Credentialing Certification*

Organization Status
ACN Group, Inc. of California CERTIFIED
Adventist Health Network CERTIFIED
Albany Medical Center CERTIFIED
American Specialty Group, Inc. CERTIFIED
American Specialty Health Plans of California, Inc. CERTIFIED
Arizona Health Advantage dba Arizona Priority Care CERTIFIED
Baylor College of Medicine Healthcare d/b/a BaylorMedCare CERTIFIED
Beaumont Hospitals CERTIFIED
Board Of Regents of the University of Oklahoma on behalf of OU Physicians CERTIFIED
Care Ohio, Inc. SCHEDULED
Cleveland Clinic Community Physician Partnership CERTIFIED
CMS CAP Management Systems CERTIFIED
Cornerstone Alliance, Inc. CERTIFIED
Culpeper Physician Hospital Organization CERTIFIED
Davis Vision, Inc. CERTIFIED
EPIC Management, L.P. CERTIFIED
Genesys Physician Hospital Organization CERTIFIED
Georgetown University Hospital CERTIFIED
Greater Newport Physicians Medical Group, Inc. CERTIFIED
Greater Rochester Independent Practice Association CERTIFIED
Health Services for Children with Special Needs, Inc. CERTIFIED
HealthCare Partners of Nevada CERTIFIED
HealthPoint Management Services CERTIFIED
Heritage Provider Network, Inc. CERTIFIED
Managed Care of North America, Inc. d/b/a MCNA Dental Plans, Inc. CERTIFIED
North Mississippi Health Link, Inc. CERTIFIED
Northeast Georgia Health Partners, LLC CERTIFIED
Norton-Community Medical Associates SCHEDULED
OneNet PPO, LLC CERTIFIED
OptiCare Managed Vision, Inc. CERTIFIED
OptumHealth Care Solutions, Inc. CERTIFIED
OSF Direct Access Network/OSF Saint Francis, Inc. CERTIFIED
Pacific Partners Management Services Inc. CERTIFIED
Physician Hospital Organization of Battle Creek dba Integrated Health Partners CERTIFIED
Physicians of King's Daughters, P.A. CERTIFIED
Private Healthcare Systems, Inc. d/b/a PHCS Network CERTIFIED
Scott & White Memorial Hospital/Scott, Sherwood and Brindley Foundation CERTIFIED
Sheridan Healthcorp, Inc. CERTIFIED
Teladoc Physicians, P.A. SCHEDULED
The Cleveland Clinic Foundation CERTIFIED
The Medical Group of Ohio, Ltd CERTIFIED
The MetroHealth System CERTIFIED
Triad Health Care Inc. CERTIFIED
UCLA Medical Group CERTIFIED
United Physicians, Inc. CERTIFIED
University Medical Service Association-USF Physicians Group CERTIFIED
University of Louisville Physicians, Inc. CERTIFIED
University of Rochester Medical Faculty Group CERTIFIED
University of Toledo Physicians, LLC CERTIFIED
Vermont Managed Care, Inc. CERTIFIED
Vision Service Plan CERTIFIED
Watson Clinic LLP CERTIFIED
WESTMED Practice Partners, LLC CERTIFIED
Yale Medical Group CERTIFIED

Utilization Management Certification*

Organization Status
ACN Group, Inc. of California CERTIFIED
Advantica Administrative Services, Inc. d/b/a Advantica CERTIFIED
American Imaging Management, Inc. (AIM) d/b/a AIM Specialty Health CERTIFIED
American Specialty Group, Inc. CERTIFIED
American Specialty Health Plans of California, Inc. CERTIFIED
Arizona Health Advantage dba Arizona Priority Care CERTIFIED
CareCore National, LLC CERTIFIED
CMS CAP Management Systems CERTIFIED
Express Scripts Utilization Management Company SCHEDULED
Genesys Physician Hospital Organization CERTIFIED
Health Integrated, Inc. CERTIFIED
Health Services for Children with Special Needs, Inc. CERTIFIED
HealthCare Partners of Nevada CERTIFIED
HealthHelp, LLC CERTIFIED
HealthPlex, Inc. CERTIFIED
Medical Review Institute of America, Inc CERTIFIED
MedSolutions, Inc. CERTIFIED
MidMichigan Health Network, d.b.a. ConnectCare CERTIFIED
Monroe Plan for Medical Care CERTIFIED
National Imaging Associates, Inc. CERTIFIED
North American Medical Management California, Inc. CERTIFIED
OptiCare Managed Vision, Inc. CERTIFIED
OptumHealth Care Solutions, Inc. CERTIFIED
Physician Hospital Organization of Battle Creek dba Integrated Health Partners CERTIFIED
Sleep Management Solutions, LLC CERTIFIED
Triad Health Care Inc. CERTIFIED
United Physicians, Inc. CERTIFIED
Vermont Managed Care, Inc. CERTIFIED

*Physician organizations may be certified for Credentialing and/or Utilization Management through NCQA's Physician Organization Certification program.

 
 

Updated as of